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Contact Information

JONATHAN P BERG, MASSAGE THERAPIST OR
5010 NE 33RD AVE
PORTLAND, OR97211-6946
 Phone: 503-310-5426
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for JONATHAN P BERG · (Male)

NPI # 1679959936
Status Active
Credentials MASSAGE THERAPIST OR
Entity Individual
Enumeration date 08/09/2015
Last updated 08/09/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 1363
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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